JENNIFER R HARDWICK MD Medical Doctor License verification

Business Entity

CANCELLED

License Type

Medical Doctor

Description

TEMPORARY MEDICAL PERMIT

License Number

125053989

License Status

CANCELLED

Business

Title

First Name

JENNIFER

Middle

Last Name

HARDWICK

Business Name

JENNIFER R HARDWICK MD

Original Issue Date

06/26/2008

Effective Date

06/26/2008

Expiration Date

06/25/2011

City

SPRINGFIELD

State

Zip

62701

County

SANGAMON

Specialty/Qualifier

Psychiatry

Ever Disciplined

LastModifiedDate

04/23/2008